Cheshire Field Hockey Fitness Mania Waiver

I verify that I have answered all these questions truthfully and to the best of my knowledge. If I have a change in my health status during the course of the training program, I will notify Fast Track staff immediately.

In consideration of being allowed to use the Service of Fast Track personal training programs, being fitness tested, and given an exercise program, I hereby release Fast Track Timing and their directors, officers, employees, agents, successors, and assigns from any and all claims, demands, actions, or causes of action whatsoever, and from any and all liability for any loss or property damage or personal injury of any kind, nature or description, including death, that may arise or be sustained by me, during or related to participation in the Fast Track health and fitness program. This release shall be binding upon my heirs, administrators, executors, and assigns.

Informed consent:

I understand that I will be questions by the Fast Track staff about my health status and I agree to provide information relating to all medications, treatments, physical impediments, and medical conditions, before participating. I certify that the information that I provide to the Fast Track staff about my health history and current health status is, to the best of my knowledge, complete and accurate, and I agree and understand that it is my responsibility to inform the Fast Track staff in the event of any change in my health or medical status.

The information obtained during this program will be treated as privileged and confidential. It not to be released or revealed without written consent, except to authorized personnel from the Fast Track staff to the referring physician or as may be required by law. If I become ill or injured and require emergency service assistance, I authorize disclosure of my health and medical information on file to the attending emergency assistance personnel.

I understand that there are possibilities that there are possibilities of injury or other complications, including but not limited to musculoskeletal injuries, cardiovascular trauma, neurological impairment, heart attack and even death, which may occur during such testing, while completing a recommended exercise program or while otherwise using Fast Track training programs or while participating in any health and fitness program activities, at and away from Fast Track training programs. I voluntarily agree to submit to such testing procedures and to assume all risk associated with my participation in the health and fitness program. I understand and acknowledge that it is my responsibility not to exceed the guidelines established for me on my exercise program.

I understand that the use of the Fast Track training staff and participation in the health and fitness program in strictly voluntary, and that I may discontinue my participation at any time. I further understand that the Fast Track staff my revoke my privileges to use their services at any time, at its sole discretion. I agree to be bound by and obey all the rules of Fast Track training staff in the use of my program and in my participation in the health and fitness program activities.

Cheshire Fitness Programs Terms and Conditions:

During your exercise program, every effort will be made to assure your safety. However, as with any exercise program, there are risks, including by not limited to heart stress and the chance of musculoskeletal injuries. In volunteering for this program, you are free to assume responsibility for these risks and waive responsibility for personal damage. You also agree, to your knowledge, you have no limiting physical conditions or disability that would preclude an exercise program. By signing below, you accept full responsibility for your own health and well-being, and you acknowledge an understanding that no responsibility is assumed by your trainer, Kelly Hall.

I also understand that the training program will only run during the dates and time listed, and that all payments are due on the first day of the program. I understand that the program fees are non-refundable, and will not be reduced due to planned or unplanned absence or late sign-ups. I understand that additional workouts will be provided for planned or unplanned absences, which will cater to the equipment and facilities available to the athlete. These workouts will only be provided after payment for the program is received.